Timely filling

Timely filling is a big issue in every office!!

Most Physicians and Front Desk staff do not realize that every insurance company has a exception to paying a claim, they call it Timely Filing. This means they (the insurance carrier) only allow a certain time frame for physicians to submit a claim to them to be processed and this is initiated from the date of service . If you go over that allowed time frame they are not obligated to consider, process, or pay on the claim and the office has to write of that charge and can NOT bill the patient.

Here is a list of the most common insurance carriers and their allowed time frames:

Medicare-1yr from date of service

BCBS– 1 yr from date of service

Medicaid– 1yr from date of service

Aetna– 90 days from date of service

Cigna– 90 days from date of service

United Healthcare– 90 days from date of service

Amerigroup– 90 days from date of service

Johns Hopkins– 90 days from date of service

Priority Partners– 90 days from date of service

Kaiser– 90 days from date of service

Blue Choice – 90/120 days from date of service

One Net– 90 days from date of service

UMR– 90 days from date of service

To learn more about how PBA’s adheres to these time frames contact us , or request a free demo for more information.

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Why Choose Us

Our clients answer this question far better than we ever could, and for this reason invite you to visit our Testimonial page to read what a few of our clients have to say about us

Ranging from individuals to large, well established corporations our clients turn to us because we understand their needs, and they want what we deliver: quality counsel delivered consistently and in a cost effective manner, plain and simple. In fact, to best serve our clients we offer a transparent and cost effective flat fee structure for nearly every service. At PBA, we abide by the following core principles:

Focus. We are not a general practice, and do not offer general advice. Our focus is clear. Practicing in very specific areas allows us to invest the time and energy necessary to become intimately familiar with the nuances of the targeted areas. Our clients benefit tremendously from our specialized knowledge. Specialized knowledge is acquired through focus. Our focus sets us apart.

Consistency. Our reputation was and is built upon how effectively we further each client’s objectives and safeguard their interests. If we fail one client, we undo the successes obtained with countless others. It is the recognition of this reality that ensures we do our very best with each and every client. We simply cannot afford to fail one client; the future of our firm is at stake.

Passion. “Every man is proud of what he does well; and no man is proud of what he does not do well. With the former, his heart is in his work; and he will do twice as much of it with less fatigue.” — Abraham Lincoln: September 30, 1859 in Address before the Wisconsin State Agricultural Society. As our clients attest, the passion with which we invest ourselves in their affairs is evident by the results we achieve and the consistency with which we do so. Our passion propels us to be the very best at what we do.

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Why Choose Us

You should consider PBA because we are proactive. Our philosophy is to focus on the identification and prevention of potential problems before your claims are filed. By focusing on continuing education, and keeping up with the ever changing HCFA rules and regulations, we are always on the lookout for ways to maximize your reimbursement.